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Superiority of the Internal Jugular over the Subclavian Access for Temporary Dialysis
Abstract
We studied angiographically the access route 1-27 months after the insertion temporary dialysis catheters in 52 patients: 32 subclavian and 20 internal jugular. The two groups were statistically similar with respect to age, sex and race. The subclavian catheters were left in for a mean of 11.5 days (2-22) while the internal jugular ones were inserted for 15.8 days (5-25; p = 0.0015). One hundred percent of the internal jugular patients were free of any venogram abnormalities in their venous access return. In marked contrast, 50% of the subclavian sites had mild to severe stricutures with 90% having 70-100% occlusion of the subclavian vein. Six patients had bilateral severe strictures. The long-term stricture rate of subclavian catheters in the subclavian vein was unacceptably high compared to the internal jugular route.
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Cited by
Guidelines for the Prevention of Intravascular Catheter-related Infections
O'Grady, N. P., Alexander, M., Burns, L. A., Dellinger, E. P., Garland, J., Heard, S. O., Lipsett, P. A., Masur, H., Mermel, L. A., Pearson, M. L., et al. (2011) · Clinical Infectious Diseases · doi:10.1093/cid/cir257 · Cited by 4,699
Guidelines for the prevention of intravascular catheter-related infections
O'Grady, N. P., Alexander, M., Burns, L. A., Dellinger, E. P., Garland, J., Heard, S. O., Lipsett, P. A., Masur, H., Mermel, L. A., Pearson, M. L., et al. (2011) · American Journal of Infection Control · doi:10.1016/j.ajic.2011.01.003 · Cited by 1,066
Vascular access use in Europe and the United States: Results from the DOPPS
Pisoni, R. L., Young, E. W., Dykstra, D. M., Greenwood, R. N., Hecking, E., Gillespie, B., Wolfe, R. A., Goodkin, D. A., & Held, P. J. (2002) · Kidney International · doi:10.1046/j.1523-1755.2002.00117.x · Cited by 851
O'Grady, N. P., Alexander, M., Burns, L. A., Dellinger, E. P., Garland, J., Heard, S. O., Lipsett, P. A., Masur, H., Mermel, L. A., Pearson, M. L., et al. (2011) · Clinical Infectious Diseases · doi:10.1093/cid/cir138 · Cited by 560
Guidelines for the Prevention of Intravascular Catheter–Related Infections
O'Grady, N. P., Alexander, M., Dellinger, E. P., Gerberding, J. L., Heard, S. O., Maki, D. G., Masur, H., McCormick, R. D., Mermel, L. A., Pearson, M. L., et al. (2002) · Infection Control & Hospital Epidemiology · doi:10.1017/s0195941700080577 · Cited by 319
Metadata
- Authors
- Cimochowski, G. E., Worley, E., Rutherford, W. E., Sartain, J., Blondin, J., & Harter, H.
- Venue
- Nephron
- Publisher
- S. Karger AG
- Published
- 1990
- Volume
- 54
- Issue
- 2
- Pages
- 154-161
- ISSN
- 1660-8151 (ISSN-L)
- 2235-3186
- OpenAlex
- W1982603634
- Cited by
- 404
- References
- 0
- FWCI
- 28.38
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Superiority of the Internal Jugular over the Subclavian Access for Temporary Dialysis. https://app.cochat.ai/papers/10.1159/000185837
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- Cimochowski, G. E., Worley, E., Rutherford, W. E., Sartain, J., Blondin, J., & Harter, H. (1990). Superiority of the Internal Jugular over the Subclavian Access for Temporary Dialysis. Nephron. https://doi.org/10.1159/000185837
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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